Applying the Maternal Near Miss Approach for the Evaluation of Quality of Obstetric Care: A Worked Example from a Multicenter Surveillance Study

Detalhes bibliográficos
Autor(a) principal: Haddad, Samira Maerrawi
Data de Publicação: 2014
Outros Autores: Cecatti, Jose Guilherme, Souza, Joao Paulo, Sousa, Maria Helena, Parpinelli, Mary Angela, Costa, Maria Laura, Pacagnella, Rodolfo C., Brum, Ione R., Moraes Filho, Olimpio B., Feitosa, Francisco E., Menezes, Carlos A., Guanabara, Everardo M., Moreira, Joaquim L., Peret, Frederico A., Schmaltz, Luiza E., Katz, Leila, Barbosa Lima, Antonio C., Amorim, Melania M., Martins, Marilia G., Nascimento, Denis J., Paiva, Claudio S., Rohloff, Roger D., Costa, Sergio M., Luz, Adriana G., Lobato, Gustavo, Cordioli, Eduardo, Peracoli, Jose C., Maia Filho, Nelson L., Quintana, Silvana M., Lotufo, Fatima A., Andreucci, Carla B., Aquino, Marcia M., Mattar, Rosiane [UNIFESP]
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da UNIFESP
Texto Completo: http://dx.doi.org/10.1155/2014/989815
http://repositorio.unifesp.br/handle/11600/37165
Resumo: Objective. To assess quality of care of women with severe maternal morbidity and to identify associated factors. Method. This is a national multicenter cross-sectional study performing surveillance for severe maternal morbidity, using the World Health Organization criteria. the expected number of maternal deaths was calculated with the maternal severity index (MSI) based on the severity of complication, and the standardized mortality ratio (SMR) for each center was estimated. Analyses on the adequacy of care were performed. Results. 17 hospitals were classified as providing adequate and 10 as nonadequate care. Besides almost twofold increase in maternal mortality ratio, the main factors associated with nonadequate performance were geographic difficulty in accessing health services (P < 0.001), delays related to quality of medical care (P = 0.012), absence of blood derivatives (P = 0.013), difficulties of communication between health services (P = 0.004), and any delay during the whole process (P = 0.039). Conclusions. This is an example of how evaluation of the performance of health services is possible, using a benchmarking tool specific to Obstetrics. in this study the MSI was a useful tool for identifying differences in maternal mortality ratios and factors associated with nonadequate performance of care.
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spelling Applying the Maternal Near Miss Approach for the Evaluation of Quality of Obstetric Care: A Worked Example from a Multicenter Surveillance StudyObjective. To assess quality of care of women with severe maternal morbidity and to identify associated factors. Method. This is a national multicenter cross-sectional study performing surveillance for severe maternal morbidity, using the World Health Organization criteria. the expected number of maternal deaths was calculated with the maternal severity index (MSI) based on the severity of complication, and the standardized mortality ratio (SMR) for each center was estimated. Analyses on the adequacy of care were performed. Results. 17 hospitals were classified as providing adequate and 10 as nonadequate care. Besides almost twofold increase in maternal mortality ratio, the main factors associated with nonadequate performance were geographic difficulty in accessing health services (P < 0.001), delays related to quality of medical care (P = 0.012), absence of blood derivatives (P = 0.013), difficulties of communication between health services (P = 0.004), and any delay during the whole process (P = 0.039). Conclusions. This is an example of how evaluation of the performance of health services is possible, using a benchmarking tool specific to Obstetrics. in this study the MSI was a useful tool for identifying differences in maternal mortality ratios and factors associated with nonadequate performance of care.Univ Campinas UNICAMP, Sch Med Sci, Dept Obstet & Gynaecol, BR-13083881 Campinas, SP, BrazilCtr Res Reprod Hlth Campinas Cemicamp, BR-13083888 Campinas, SP, BrazilUniv Fed Amazonas, Manaus, Amazonas, BrazilSch Med Sci, CISAM, Recife, PE, BrazilUniv Fed Ceara, Fortaleza, Ceara, BrazilUniv Fed Bahia, Salvador, BA, BrazilHosp Geral Cesar Cals, Fortaleza, Ceara, BrazilHosp Geral Fortaleza, Fortaleza, Ceara, BrazilMaternidade Odete Valadares, Belo Horizonte, MG, BrazilHosp Materno Infantil, Goiania, Go, BrazilInst Materno Infantil Pernambuco, Recife, PE, BrazilUniv Fed Pernambuco, Recife, PE, BrazilUniv Fed Campina Grande, Campina Grande, PB, BrazilUniv Fed Maranhao, Sao Luis, MA, BrazilUniv Fed Parana, BR-80060000 Curitiba, Parana, BrazilUniv Fed Paraiba, BR-58059900 Joao Pessoa, Paraiba, BrazilHosp Maternidade Fernando Magalhaes, Rio de Janeiro, RJ, BrazilUniv Fed Rio Grande do Sul, Porto Alegre, RS, BrazilHosp Maternidade Celso Pierro, Campinas, SP, BrazilInst Fernandes Figueira Fiocruz, Rio de Janeiro, RJ, BrazilHosp Israelita Albert Einstein, São Paulo, BrazilUniv State São Paulo, Botucatu, SP, BrazilJundiai Sch Med, Jundiai, SP, BrazilUniv São Paulo, BR-14049 Ribeirao Preto, SP, BrazilSanta Casa Limeira, Limeira, SP, BrazilSanta Casa Sao Carlos, Sao Carlos, SP, BrazilMaternidade Leonor Mendes de Barros, São Paulo, BrazilUniversidade Federal de São Paulo, São Paulo, BrazilUniversidade Federal de São Paulo, São Paulo, BrazilWeb of ScienceConselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)CNPq: 402702/2008-5Hindawi Publishing CorporationUniversidade Estadual de Campinas (UNICAMP)Ctr Res Reprod Hlth Campinas CemicampUniv Fed AmazonasSch Med SciUniv Fed CearaUniversidade Federal da Bahia (UFBA)Hosp Geral Cesar CalsHosp Geral FortalezaMaternidade Odete ValadaresHosp Materno InfantilInst Materno Infantil PernambucoUniversidade Federal de Pernambuco (UFPE)Univ Fed Campina GrandeUniv Fed MaranhaoUniv Fed ParanaUniv Fed ParaibaHosp Maternidade Fernando MagalhaesUniv Fed Rio Grande do SulHosp Maternidade Celso PierroInst Fernandes Figueira FiocruzHosp Israelita Albert EinsteinUniversidade de São Paulo (USP)Jundiai Sch MedSanta Casa LimeiraSanta Casa Sao CarlosMaternidade Leonor Mendes de BarrosUniversidade Federal de São Paulo (UNIFESP)Haddad, Samira MaerrawiCecatti, Jose GuilhermeSouza, Joao PauloSousa, Maria HelenaParpinelli, Mary AngelaCosta, Maria LauraPacagnella, Rodolfo C.Brum, Ione R.Moraes Filho, Olimpio B.Feitosa, Francisco E.Menezes, Carlos A.Guanabara, Everardo M.Moreira, Joaquim L.Peret, Frederico A.Schmaltz, Luiza E.Katz, LeilaBarbosa Lima, Antonio C.Amorim, Melania M.Martins, Marilia G.Nascimento, Denis J.Paiva, Claudio S.Rohloff, Roger D.Costa, Sergio M.Luz, Adriana G.Lobato, GustavoCordioli, EduardoPeracoli, Jose C.Maia Filho, Nelson L.Quintana, Silvana M.Lotufo, Fatima A.Andreucci, Carla B.Aquino, Marcia M.Mattar, Rosiane [UNIFESP]2016-01-24T14:34:57Z2016-01-24T14:34:57Z2014-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersion10application/pdfhttp://dx.doi.org/10.1155/2014/989815Biomed Research International. New York: Hindawi Publishing Corporation, 10 p., 2014.10.1155/2014/989815WOS000340161700001.pdf2314-6133http://repositorio.unifesp.br/handle/11600/37165WOS:000340161700001engBiomed Research Internationalinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UNIFESPinstname:Universidade Federal de São Paulo (UNIFESP)instacron:UNIFESP2024-07-31T17:25:00Zoai:repositorio.unifesp.br/:11600/37165Repositório InstitucionalPUBhttp://www.repositorio.unifesp.br/oai/requestbiblioteca.csp@unifesp.bropendoar:34652024-07-31T17:25Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP)false
dc.title.none.fl_str_mv Applying the Maternal Near Miss Approach for the Evaluation of Quality of Obstetric Care: A Worked Example from a Multicenter Surveillance Study
title Applying the Maternal Near Miss Approach for the Evaluation of Quality of Obstetric Care: A Worked Example from a Multicenter Surveillance Study
spellingShingle Applying the Maternal Near Miss Approach for the Evaluation of Quality of Obstetric Care: A Worked Example from a Multicenter Surveillance Study
Haddad, Samira Maerrawi
title_short Applying the Maternal Near Miss Approach for the Evaluation of Quality of Obstetric Care: A Worked Example from a Multicenter Surveillance Study
title_full Applying the Maternal Near Miss Approach for the Evaluation of Quality of Obstetric Care: A Worked Example from a Multicenter Surveillance Study
title_fullStr Applying the Maternal Near Miss Approach for the Evaluation of Quality of Obstetric Care: A Worked Example from a Multicenter Surveillance Study
title_full_unstemmed Applying the Maternal Near Miss Approach for the Evaluation of Quality of Obstetric Care: A Worked Example from a Multicenter Surveillance Study
title_sort Applying the Maternal Near Miss Approach for the Evaluation of Quality of Obstetric Care: A Worked Example from a Multicenter Surveillance Study
author Haddad, Samira Maerrawi
author_facet Haddad, Samira Maerrawi
Cecatti, Jose Guilherme
Souza, Joao Paulo
Sousa, Maria Helena
Parpinelli, Mary Angela
Costa, Maria Laura
Pacagnella, Rodolfo C.
Brum, Ione R.
Moraes Filho, Olimpio B.
Feitosa, Francisco E.
Menezes, Carlos A.
Guanabara, Everardo M.
Moreira, Joaquim L.
Peret, Frederico A.
Schmaltz, Luiza E.
Katz, Leila
Barbosa Lima, Antonio C.
Amorim, Melania M.
Martins, Marilia G.
Nascimento, Denis J.
Paiva, Claudio S.
Rohloff, Roger D.
Costa, Sergio M.
Luz, Adriana G.
Lobato, Gustavo
Cordioli, Eduardo
Peracoli, Jose C.
Maia Filho, Nelson L.
Quintana, Silvana M.
Lotufo, Fatima A.
Andreucci, Carla B.
Aquino, Marcia M.
Mattar, Rosiane [UNIFESP]
author_role author
author2 Cecatti, Jose Guilherme
Souza, Joao Paulo
Sousa, Maria Helena
Parpinelli, Mary Angela
Costa, Maria Laura
Pacagnella, Rodolfo C.
Brum, Ione R.
Moraes Filho, Olimpio B.
Feitosa, Francisco E.
Menezes, Carlos A.
Guanabara, Everardo M.
Moreira, Joaquim L.
Peret, Frederico A.
Schmaltz, Luiza E.
Katz, Leila
Barbosa Lima, Antonio C.
Amorim, Melania M.
Martins, Marilia G.
Nascimento, Denis J.
Paiva, Claudio S.
Rohloff, Roger D.
Costa, Sergio M.
Luz, Adriana G.
Lobato, Gustavo
Cordioli, Eduardo
Peracoli, Jose C.
Maia Filho, Nelson L.
Quintana, Silvana M.
Lotufo, Fatima A.
Andreucci, Carla B.
Aquino, Marcia M.
Mattar, Rosiane [UNIFESP]
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
dc.contributor.none.fl_str_mv Universidade Estadual de Campinas (UNICAMP)
Ctr Res Reprod Hlth Campinas Cemicamp
Univ Fed Amazonas
Sch Med Sci
Univ Fed Ceara
Universidade Federal da Bahia (UFBA)
Hosp Geral Cesar Cals
Hosp Geral Fortaleza
Maternidade Odete Valadares
Hosp Materno Infantil
Inst Materno Infantil Pernambuco
Universidade Federal de Pernambuco (UFPE)
Univ Fed Campina Grande
Univ Fed Maranhao
Univ Fed Parana
Univ Fed Paraiba
Hosp Maternidade Fernando Magalhaes
Univ Fed Rio Grande do Sul
Hosp Maternidade Celso Pierro
Inst Fernandes Figueira Fiocruz
Hosp Israelita Albert Einstein
Universidade de São Paulo (USP)
Jundiai Sch Med
Santa Casa Limeira
Santa Casa Sao Carlos
Maternidade Leonor Mendes de Barros
Universidade Federal de São Paulo (UNIFESP)
dc.contributor.author.fl_str_mv Haddad, Samira Maerrawi
Cecatti, Jose Guilherme
Souza, Joao Paulo
Sousa, Maria Helena
Parpinelli, Mary Angela
Costa, Maria Laura
Pacagnella, Rodolfo C.
Brum, Ione R.
Moraes Filho, Olimpio B.
Feitosa, Francisco E.
Menezes, Carlos A.
Guanabara, Everardo M.
Moreira, Joaquim L.
Peret, Frederico A.
Schmaltz, Luiza E.
Katz, Leila
Barbosa Lima, Antonio C.
Amorim, Melania M.
Martins, Marilia G.
Nascimento, Denis J.
Paiva, Claudio S.
Rohloff, Roger D.
Costa, Sergio M.
Luz, Adriana G.
Lobato, Gustavo
Cordioli, Eduardo
Peracoli, Jose C.
Maia Filho, Nelson L.
Quintana, Silvana M.
Lotufo, Fatima A.
Andreucci, Carla B.
Aquino, Marcia M.
Mattar, Rosiane [UNIFESP]
description Objective. To assess quality of care of women with severe maternal morbidity and to identify associated factors. Method. This is a national multicenter cross-sectional study performing surveillance for severe maternal morbidity, using the World Health Organization criteria. the expected number of maternal deaths was calculated with the maternal severity index (MSI) based on the severity of complication, and the standardized mortality ratio (SMR) for each center was estimated. Analyses on the adequacy of care were performed. Results. 17 hospitals were classified as providing adequate and 10 as nonadequate care. Besides almost twofold increase in maternal mortality ratio, the main factors associated with nonadequate performance were geographic difficulty in accessing health services (P < 0.001), delays related to quality of medical care (P = 0.012), absence of blood derivatives (P = 0.013), difficulties of communication between health services (P = 0.004), and any delay during the whole process (P = 0.039). Conclusions. This is an example of how evaluation of the performance of health services is possible, using a benchmarking tool specific to Obstetrics. in this study the MSI was a useful tool for identifying differences in maternal mortality ratios and factors associated with nonadequate performance of care.
publishDate 2014
dc.date.none.fl_str_mv 2014-01-01
2016-01-24T14:34:57Z
2016-01-24T14:34:57Z
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://dx.doi.org/10.1155/2014/989815
Biomed Research International. New York: Hindawi Publishing Corporation, 10 p., 2014.
10.1155/2014/989815
WOS000340161700001.pdf
2314-6133
http://repositorio.unifesp.br/handle/11600/37165
WOS:000340161700001
url http://dx.doi.org/10.1155/2014/989815
http://repositorio.unifesp.br/handle/11600/37165
identifier_str_mv Biomed Research International. New York: Hindawi Publishing Corporation, 10 p., 2014.
10.1155/2014/989815
WOS000340161700001.pdf
2314-6133
WOS:000340161700001
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv Biomed Research International
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv 10
application/pdf
dc.publisher.none.fl_str_mv Hindawi Publishing Corporation
publisher.none.fl_str_mv Hindawi Publishing Corporation
dc.source.none.fl_str_mv reponame:Repositório Institucional da UNIFESP
instname:Universidade Federal de São Paulo (UNIFESP)
instacron:UNIFESP
instname_str Universidade Federal de São Paulo (UNIFESP)
instacron_str UNIFESP
institution UNIFESP
reponame_str Repositório Institucional da UNIFESP
collection Repositório Institucional da UNIFESP
repository.name.fl_str_mv Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP)
repository.mail.fl_str_mv biblioteca.csp@unifesp.br
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